Hotel Registration Form

Hotel Registration Form

NNSP'99 is held in

The Madison Concourse Hotel and Governor's Club
1 West Dayton Street, Madison, WI 53703
phone: + 1 608-257-6000 fax: +1 608-257-5280
toll-free reservation: +1 800-356-8293
URL: http://www.concoursehotel.com/

Contcact Madison Concourse Hotel directly or use this Hotel Registration Form which is strictly for new registrations. If you already registered using this form and want to make changes please email Ms. Jean Stover at stover@engr.wisc.edu.

Please complete all required^* fields of this form.

Hotel Registration Information

Last Name: *

First Name: *

Middle, Initial:

Adreess (line 1): *

Adreess (line 2):

City: *

Postal Code: *

Province:

Country: *

Telephone no.: *

Fax no.:

Email: *

Room Request

Concourse Level - US$ 85.00/95.00 single/double occupancy per night.
Governor's Club - US$ 125.00/135.00 single/double occupancy per night.
Guests in the Governor's club (GC) receive complimentary Continental Breakfast in the morning, complimentary cocktails and hors d'oeuvres in the evening, turn down service and bathrobes in their room. All rooms in the GC have a single King bed.

Select room type: *

No. of beds:

Arrival date: August 1999 *

Departure date: 1999 *

No. of nights: *

Name of roommate (if any):

These workshop group rates are applicable during August 19-27, 1999.
13.5% local tax and indidentals will be added.
Additional person costs US$ 10 per night.
Check-In time is 3:00pm, Check-Out time is 12:00 noon
Upon Check-In, an imprint of your credit card OR a $10 per day deposit will be required (this is for possible incidental expenses).
Cancellations must be recieved at least 48 hours prior to reservation date to receive a refund.
To obtain special rates, reservations should be made by midnight July 26, 1999.

Late Check In

If arrival time is after 4:00 PM credit card information is required.

Credit Card (submitting info electronically):

Credit Card (submitting info by FAX or mail):

In case of electronic submission of Credit Card info please fill in:

Type of Credit Card:

Card Number:

Expiration (mm/yy):

Name as appearing on card:

Submission of Hotel Registration Information

After completing the forms above submit the information by clicking the submit button below:

Please be patient if you do not receive an immediate response after pressing the submit-button. You might experience a slow network connection or the conference web site might be busy.
WARNING: Pressing the submit-button twice will result in double-registration.

Last Name:	*
First Name:	*
Middle, Initial:
Adreess (line 1):	*
Adreess (line 2):
City:	*
Postal Code:	*
Province:
Country:	*
Telephone no.:	*
Fax no.:
Email:	*

Select room type:	*
No. of beds:
Arrival date:	August 1999 *
Departure date:	1999 *
No. of nights:	*
Name of roommate (if any):

Credit Card (submitting info electronically):
Credit Card (submitting info by FAX or mail):

Type of Credit Card:
Card Number:
Expiration (mm/yy):
Name as appearing on card: